| NPI | 1821588591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFIF MOUSA Owner 216-577-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35.133846) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 35.133846) |
| 261QP2300X Clinic/Center, Primary Care (Licence: OH 35.133846) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-06-04 |